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Expanding the field of acute care surgery: a systematic review of the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in cases of morbidly adherent placenta

Overview of attention for article published in European Journal of Trauma and Emergency Surgery, September 2017
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Title
Expanding the field of acute care surgery: a systematic review of the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in cases of morbidly adherent placenta
Published in
European Journal of Trauma and Emergency Surgery, September 2017
DOI 10.1007/s00068-017-0840-4
Pubmed ID
Authors

R. Manzano-Nunez, M. F. Escobar-Vidarte, M. P. Naranjo, F. Rodriguez, P. Ferrada, J. D. Casallas, C. A. Ordoñez

Abstract

Prophylactic placement of endovascular balloon occlusion catheters has grown to be part of the surgical plans to control intraoperative hemorrhage in cases of abnormal placentation. We performed a systematic literature review to investigate the safety and effectiveness of the use of REBOA during cesarean delivery in pregnant woman with morbidly adherent placenta. A systematic review was performed. Relevant case reports and nonrandomized studies were identified by the literature search in MEDLINE. We included studies involving pregnant woman with diagnosis of abnormal placentation who underwent cesarean delivery with REBOA placed for hemorrhage control. MINORS' criteria were used to evaluate the risk of bias of included studies. A formal meta-analysis was not performed. Eight studies were included in cumulative results. These studies included a total of 392 patients. Overall, REBOA was deployed in 336 patients. Six studies reported the use of REBOA as an adjunct for prophylactic hemorrhage control in pregnant woman with diagnosis of morbidly adherent placenta undergoing elective cesarean delivery. In two studies, REBOA was deployed in patients already in established hemorrhagic shock at the moment of cesarean delivery. REBOA was deployed primarily by interventional radiologists; however, one study reported a surgeon as the REBOA provider. The results from our qualitative synthesis indicate that the use of REBOA during cesarean delivery resulted in less blood loss with a low rate complications occurrence. REBOA is a feasible, safe, and effective means of prophylactic and remedial hemorrhage control in pregnant women with abnormal placentation undergoing cesarean delivery.

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The data shown below were compiled from readership statistics for 87 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 87 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 16 18%
Student > Bachelor 14 16%
Student > Doctoral Student 7 8%
Student > Postgraduate 6 7%
Other 5 6%
Other 19 22%
Unknown 20 23%
Readers by discipline Count As %
Medicine and Dentistry 51 59%
Nursing and Health Professions 6 7%
Unspecified 2 2%
Agricultural and Biological Sciences 2 2%
Engineering 2 2%
Other 3 3%
Unknown 21 24%